DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 31-08-2019 061406020819P000076 0002247914801 NGATINA P PEKERJA MANDIRI Noninflammatory disorders Rujuk Lanjut
of ovary, fallopian tube
and broad ligament

2 29-08-2019 061406020819P000153 0000027491016 CHIKMATIN P PNS DAERAH Supervision of high-risk Rujuk Lanjut
pregnancy, unspecified
3 29-08-2019 061406020819P000056 0000316821284 SURANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
4 29-08-2019 061406020819P000111 0000317633747 MUHAMMAD SAEPUDIN L PBI (APBN) Headache Berobat Jalan

5 29-08-2019 061406020819P000112 0000317700022 AGUNG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
6 29-08-2019 061406020819P000113 0000317929061 ISNANI L PBI (APBN) Dental caries Berobat Jalan

7 28-08-2019 061406020819P000138 0002568028768 FITRI KHASANAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
8 28-08-2019 061406020819P000139 0002568028779 MUHAMMAD ALKHAFIDZ P PBI (APBD) Noninfective Berobat Jalan
gastroenteritis and colitis,

9 28-08-2019 061406020819P000137 0002568034809 SUHAJI L PBI (APBD) Seropositive rheumatoid Berobat Jalan
arthritis
10 27-08-2019 061406020819P000136 0002568034811 TRI KHOIRIYAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
11 27-08-2019 061406020819P000135 0002568034822 DANU PUTRA PANGENGAR P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
12 26-08-2019 061406020819P000082 0000317324024 WAHYU AJI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
13 26-08-2019 061406020819P000083 0000317336422 NGADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
14 26-08-2019 061406020819P000134 0002568029242 NUR FUAD L PBI (APBD) Migraine, unspecified Berobat Jalan

15 26-08-2019 061406020819P000133 0002568037454 YUSUF L PBI (APBD) Gastritis, unspecified Berobat Jalan

16 26-08-2019 061406020819P000132 0002568037465 ENA AINULMARDIAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
17 24-08-2019 061406020819P000054 0000316811801 TRIWULANDARI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
18 24-08-2019 061406020819P000075 0000317529281 KOSIM L PBI (APBN) Migraine, unspecified Berobat Jalan

19 24-08-2019 061406020819P000055 0000991364512 KUSNUL FARIDA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
20 24-08-2019 061406020819P000130 0002568037443 RUDI HARTONO P PBI (APBD) Noninfective Berobat Jalan
gastroenteritis and colitis,
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

21 24-08-2019 061406020819P000131 0002568037476 SEPTY LESTARI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
22 23-08-2019 061406020819P000074 0000317530765 SULASTRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
23 23-08-2019 061406020819P000129 0002568037432 SRI ANDRIYANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
24 22-08-2019 061406020819P000053 0000316811171 SAMPE L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
25 22-08-2019 061406020819P000052 0000316811248 MURDIA P PBI (APBN) Gastritis, unspecified Berobat Jalan

26 22-08-2019 061406020819P000073 0000317531711 KARSIH L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
27 22-08-2019 061406020819P000109 0000317674427 SUNARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
28 22-08-2019 061406020819P000110 0000991360686 JUJUN JUNAEDI L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

29 22-08-2019 061406020819P000126 0002568029815 EKO PURNOMO L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
30 22-08-2019 061406020819P000127 0002568029826 MARYATUN P PBI (APBD) Migraine, unspecified Berobat Jalan

31 22-08-2019 061406020819P000128 0002568029837 TRI SUBAGIYO P PBI (APBD) Seropositive rheumatoid Berobat Jalan
arthritis
32 22-08-2019 061406020819P000039 0002881483929 SITI FAUZIAH P PEKERJA MANDIRI Benign neoplasm of Rujuk Lanjut
meninges, unspecified
33 21-08-2019 061406020819P000072 0000317691246 TUTI P PBI (APBN) Asthma, unspecified Berobat Jalan

34 21-08-2019 061406020819P000108 0000317928767 ISKANDAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
35 21-08-2019 061406020819P000051 0000991363926 RITA CAHYANI P PBI (APBN) Allergy, unspecified Berobat Jalan

36 20-08-2019 061406020819P000081 0000317326263 ASIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
37 20-08-2019 061406020819P000080 0000317336422 NGADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
38 20-08-2019 061406020819P000071 0000317691707 SOLEHUDIN L PBI (APBN) Typhoid fever Berobat Jalan

39 19-08-2019 061406020819P000050 0000316770131 DEVI P PBI (APBN) Embedded and impacted Berobat Jalan
teeth
40 19-08-2019 061406020819P000049 0000316793351 SITI FATIMAH P PBI (APBN) Other specified dermatitis Berobat Jalan

41 19-08-2019 061406020819P000106 0000316999686 SAIFUL ANWAR L PBI (APBN) Contact with knife, sword Berobat Jalan
or dagger causing

42 19-08-2019 061406020819P000079 0000317312245 KUATI P PBI (APBN) Pterygium Berobat Jalan

 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

43 19-08-2019 061406020819P000070 0000317694036 SANDI L PBI (APBN) Puerperal sepsis Berobat Jalan

44 19-08-2019 061406020819P000078 0000317985434 EDI S L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
45 19-08-2019 061406020819P000107 0000318375202 UMIATI P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

46 19-08-2019 061406020819P000040 0002053089764 SUDARMI P PNS DAERAH Multiple valve disease, Rujuk Lanjut
unspecified
47 17-08-2019 061406020819P000069 0000317694745 TUTI LESTARI P PBI (APBN) Gastritis, unspecified Berobat Jalan

48 16-08-2019 061406020819P000020 0000027531663 NUR BAITI P PNS DAERAH Tinea cruris Rujuk Lanjut

49 16-08-2019 061406020819P000105 0000316972225 NAELI AFRIYANTI P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
50 16-08-2019 061406020819P000104 0000316979774 DARSITO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
51 16-08-2019 061406020819P000019 0000317161776 MULYONO L PBI (APBN) Asthma, unspecified Rujuk Lanjut

52 16-08-2019 061406020819P000047 0000317349562 TAMIJA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
53 16-08-2019 061406020819P000048 0000317349639 TEGUH S L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
54 16-08-2019 061406020819P000068 0000317696051 SUWINDA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
55 16-08-2019 061406020819P000077 0000991362431 SANTURIFAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
56 15-08-2019 061406020819P000067 0000317697581 KARSINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
57 15-08-2019 061406020819P000103 0000991360034 UMIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
58 15-08-2019 061406020819P000045 0000991364062 MUSTAQIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
59 15-08-2019 061406020819P000046 0000991364095 MUHAMAD YUSUP QIRON L PBI (APBN) Other specified dermatitis Berobat Jalan

60 14-08-2019 061406020819P000043 0000316766529 KASMUDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
61 14-08-2019 061406020819P000066 0000317699256 SEMBUR L PBI (APBN) Idiopathic gout Berobat Jalan

62 14-08-2019 061406020819P000044 0000317717728 SRIATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

63 14-08-2019 061406020819P000102 0000991360203 SARIPAH P PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
64 13-08-2019 061406020819P000041 0000317658486 SRI UTAMI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

65 13-08-2019 061406020819P000042 0000317659151 AGUNG FAJARUDIN L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
66 13-08-2019 061406020819P000065 0000317702068 SARMILLA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
67 13-08-2019 061406020819P000101 0000317927845 ISDAR L PBI (APBN) Dizziness and giddiness Berobat Jalan

68 13-08-2019 061406020819P000100 0000991360135 DEDI L PBI (APBN) Allergy, unspecified Berobat Jalan

69 13-08-2019 061406020819P000018 0001732832302 DAMAR WULAN L PEKERJA MANDIRI Dizziness and giddiness Rujuk Lanjut

70 12-08-2019 061406020819P000038 0000317328153 JAIMAN L PBI (APBN) Varicella [chickenpox] Berobat Jalan

71 12-08-2019 061406020819P000037 0000317331213 NUR DIANA P PBI (APBN) Whooping cough, Berobat Jalan
unspecified
72 12-08-2019 061406020819P000098 0000317339818 UMI KHOIRIAH P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

73 12-08-2019 061406020819P000099 0000317697941 EKO L PBI (APBN) Cholelithiasis Berobat Jalan

74 12-08-2019 061406020819P000064 0000317703824 LASIMAN L PBI (APBN) Noninfective Berobat Jalan

gastroenteritis and colitis,

75 10-08-2019 061406020819P000035 0000316837811 NURSODIK L PBI (APBN) Cholelithiasis Berobat Jalan

76 10-08-2019 061406020819P000036 0000316839385 MISNANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan

77 10-08-2019 061406020819P000096 0000316977568 MUNAWAR L PBI (APBN) Gastritis, unspecified Berobat Jalan

78 10-08-2019 061406020819P000063 0000317706682 SAMSURIZAL L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
79 10-08-2019 061406020819P000097 0000991360765 SUGINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
80 10-08-2019 061406020819P000007 0000991362148 ILIYAS L PBI (APBN) Myalgia Berobat Jalan

81 09-08-2019 061406020819P000094 0000317317825 SEPTIANA RAHMADANI P PBI (APBN) Dental caries Berobat Jalan

82 09-08-2019 061406020819P000095 0000317345332 ARIMAH P PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
83 09-08-2019 061406020819P000033 0000317693248 IMAM GHOZALI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
84 09-08-2019 061406020819P000034 0000317695059 DIDIK SAIFUL ANWAR L PBI (APBN) Allergy, unspecified Berobat Jalan

85 09-08-2019 061406020819P000062 0000317708155 WAHYUNI P PBI (APBN) Iron deficiency anaemia Berobat Jalan

86 09-08-2019 061406020819P000016 0000317858916 INA P PBI (APBN) Gastritis, unspecified Berobat Jalan

87 09-08-2019 061406020819P000017 0000317859006 YUSUF L PBI (APBN) Puerperal sepsis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

88 09-08-2019 061406020819P000006 0000991361891 SATIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
89 08-08-2019 061406020819P000032 0000316828361 MELANI P PBI (APBN) Dental caries Berobat Jalan

90 08-08-2019 061406020819P000093 0000316972822 SAKARIA L PBI (APBN) Gastritis, unspecified Berobat Jalan

91 08-08-2019 061406020819P000092 0000316973349 HARIYANTO L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
92 08-08-2019 061406020819P000151 0000317296631 SALIMAN L PBI (APBN) Myalgia Berobat Jalan

93 08-08-2019 061406020819P000061 0000317711057 SAWIEM P PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
94 08-08-2019 061406020819P000152 0000317711406 NANDA SAPUTRA L PBI (APBN) Typhoid fever Berobat Jalan

95 08-08-2019 061406020819P000031 0000991364488 MINAR L PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
96 07-08-2019 061406020819P000029 0000316629955 RAHMAH AMINAH P PBI (APBN) Other specified dermatitis Berobat Jalan

97 07-08-2019 061406020819P000030 0000316858656 TABYANI L PBI (APBN) Cholelithiasis Berobat Jalan

98 07-08-2019 061406020819P000150 0000316999416 SAKIMAN L PBI (APBN) Idiopathic gout Berobat Jalan

99 07-08-2019 061406020819P000148 0000317300196 LASMINI P PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
100 07-08-2019 061406020819P000060 0000317713386 BASUKI L PBI (APBN) Contact with knife, sword Berobat Jalan
or dagger causing

101 07-08-2019 061406020819P000149 0000317715164 TURSINO L PBI (APBN) Myalgia Berobat Jalan

102 07-08-2019 061406020819P000091 0000991360642 DESI KURNIATI P PBI (APBN) Mucopurulent Berobat Jalan
conjunctivitis
103 07-08-2019 061406020819P000001 0002751865571 PRASTYO ARDIANSAH L PEGAWAI PEMERINTAH Chronic tonsillitis Rujuk Lanjut
DENGAN PERJANJIAN

104 06-08-2019 061406020819P000146 0000317306169 SITI AISYAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
105 06-08-2019 061406020819P000147 0000317716209 BINTI MUYA SARO P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

106 06-08-2019 061406020819P000059 0000317716659 SAIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

107 06-08-2019 061406020819P000015 0000317943551 SUKIRMAN L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
108 06-08-2019 061406020819P000014 0000317949524 SUGENG L PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

109 06-08-2019 061406020819P000013 0000317966984 SAWIYEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
110 06-08-2019 061406020819P000123 0002568029117 SUWARNO L PBI (APBD) Typhoid fever Berobat Jalan

111 06-08-2019 061406020819P000125 0002568029128 SRI HARTATI P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
112 06-08-2019 061406020819P000124 0002568029139 M . NUROKHIM P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
113 06-08-2019 061406020819P000122 0002568039309 PONIRAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

114 05-08-2019 061406020819P000010 0000317301928 SARING L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
115 05-08-2019 061406020819P000011 0000317304549 DARIMUNG L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
116 05-08-2019 061406020819P000028 0000317327051 HUSIN L PBI (APBN) Asthma, unspecified Berobat Jalan

117 05-08-2019 061406020819P000089 0000317709066 FITRI HANDAYANI P PBI (APBN) Whooping cough, Berobat Jalan
unspecified
118 05-08-2019 061406020819P000027 0000317715276 ENDANG KUSNAIDI L PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
119 05-08-2019 061406020819P000145 0000317717234 FAJAR SIDIK L PBI (APBN) Puerperal sepsis Berobat Jalan

120 05-08-2019 061406020819P000058 0000317717796 SUMARNI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
121 05-08-2019 061406020819P000012 0000317982431 SERINAH P PBI (APBN) Noninfective Berobat Jalan
gastroenteritis and colitis,

122 05-08-2019 061406020819P000090 0000991360585 SURATMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
123 05-08-2019 061406020819P000005 0000991361597 TAMRIN L PBI (APBN) Allergy, unspecified Berobat Jalan

124 05-08-2019 061406020819P000004 0000991361812 YUNITA SARI P PBI (APBN) Typhoid fever Berobat Jalan

125 05-08-2019 061406020819P000121 0002568039298 JAPAR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
126 05-08-2019 061406020819P000120 0002568039939 ISMAWATI P PBI (APBD) Dysmenorrhoea, Berobat Jalan
unspecified
127 03-08-2019 061406020819P000087 0000316971112 SAWIN L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
128 03-08-2019 061406020819P000143 0000317310412 MARDIAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
129 03-08-2019 061406020819P000025 0000317324564 SUTARTI P PBI (APBN) Whooping cough, Berobat Jalan
unspecified
130 03-08-2019 061406020819P000088 0000317658958 TOHIRIN L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602

131 03-08-2019 061406020819P000026 0000317660815 AISAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

132 03-08-2019 061406020819P000144 0000317717684 RUDI ANTONO L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
133 03-08-2019 061406020819P000002 0000991361834 HARTO L PBI (APBN) Puerperal sepsis Berobat Jalan

134 03-08-2019 061406020819P000003 0000991361845 KARMITA L PBI (APBN) Puerperal sepsis Berobat Jalan

135 03-08-2019 061406020819P000119 0002568039928 SURYANTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
136 02-08-2019 061406020819P000141 0000317311593 NASUKA L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
137 02-08-2019 061406020819P000024 0000317346434 MADSANI L PBI (APBN) Headache Berobat Jalan

138 02-08-2019 061406020819P000023 0000317347064 FURKON L PBI (APBN) Whooping cough, Berobat Jalan
unspecified
139 02-08-2019 061406020819P000086 0000317615771 JUMINI P PBI (APBN) Headache Berobat Jalan

140 02-08-2019 061406020819P000142 0000317718292 AYI PUJIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

141 02-08-2019 061406020819P000116 0002568031301 M . AMIRRUDIN P PBI (APBD) Caries limited to enamel Berobat Jalan

142 02-08-2019 061406020819P000117 0002568031312 JUMRAHWATI P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
143 02-08-2019 061406020819P000118 0002568033988 ALIF FEBRIYANTO P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
144 01-08-2019 061406020819P000022 0000316850804 SITI MAHIDAH P PBI (APBN) Whooping cough, Berobat Jalan
unspecified
145 01-08-2019 061406020819P000140 0000317316328 SITI MUSTANGIDAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
146 01-08-2019 061406020819P000084 0000317357482 MUKITT L PBI (APBN) Herpesviral vesicular Berobat Jalan
dermatitis
147 01-08-2019 061406020819P000057 0000317722094 MINTARJA L PBI (APBN) Rheumatoid arthritis, Berobat Jalan
unspecified
148 01-08-2019 061406020819P000008 0000317954406 NARWAN L PBI (APBN) Herpesviral infection, Berobat Jalan
unspecified
149 01-08-2019 061406020819P000009 0000317960392 KARTOMO L PBI (APBN) Other disorders of Berobat Jalan
conjunctiva
150 01-08-2019 061406020819P000085 0000318393066 DULAH REJA L PBI (APBN) Shigellosis, unspecified Berobat Jalan

151 01-08-2019 061406020819P000021 0000991364657 NURSIA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
152 01-08-2019 061406020819P000114 0002568031288 YUPE P PBI (APBD) Gastritis, unspecified Berobat Jalan

153 01-08-2019 061406020819P000115 0002568031299 PANDI P PBI (APBD) Migraine, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : KARANG AGUNG ILIR - 06140602